職場急性酚灼傷－病例報告

Acute Phenol Burn Injury in Workplace-A Case Report

林旭華(Hsu-Hua Lin)；劉麗美(Li-Mei Liu)；羅錦泉(Jiin-Chyuan Luo)

化學灼傷 ； 酚灼傷 ； 酚中毒 ； 除汙 ； Chemical burn ； Phenol burn ； Phenol intoxication ； Decontamination

中華職業醫學雜誌

22巻1期（2015 / 01 / 25）

51 - 57

繁體中文

近年來，台灣化學工業蓬勃發展且各種毒性化學物質被廣泛使用。在化學工廠裡從事保養維修、拆卸管路、閥體、泵浦等機械設備的工作人員，接觸酸、鹼、有機溶劑等化學溶劑機會甚多，因此工作場所的化學灼傷急救應變處理，顯得更加重要。當不慎被異常洩漏之危險物或有害物等化學溶劑噴濺傷害時，第一時間是現場適當的緊急處置，將可減輕對個案的傷害，甚至避免憾事的發生。本文是提到一名基層工作人員在製程區遭受到50%的酚水噴濺前半身包括口鼻、顏面、胸、腹、左下肢，全身體表面積(TBSA)約37%~40%灼傷，到院前的急救缺失檢討，並且提醒在職場上參與急救的工作人員除汙的重要性，千萬不要犯同樣的錯誤。

In recent years, Taiwan's chemical industry to flourish and a variety of toxic chemicals are widely used. Staff engaged in maintenance, demolition pipeline, valve, pump and other mechanical equipment in chemical plants. Meanwhile the chemical exposure for acids, alkalis and organic solvents frequently, so it is much more important that chemical burns first aid response treatment for chemical burn in the workplace. When it accidentally happens to abnormal leakage of hazardous materials or hazardous substances such as chemical solvents splash damage, the first time is appropriate emergency treatment on site, will reduce the damage of the victim of the case, or even avoid unfortunate occurrence. This article is mentioned in a grass-roots staff in the process area suffered 50 percent of phenol solution splash in front of the bust, including the nose and mouth, face, chest, abdomen, left leg, and total body surface area (TBSA) of up to about 37% to 40% burns, the review for the pre-hospital emergency and reminding the importance of participation in workplace first responder's decontamination, and I hope that we never make the same mistake again.